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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Terminate The 14 Weeks Pregnancy?

i am 14 week pregnant. but due to personal reason dont want to continue. the problem is i cant disclose this to my family. i am looking a way so that spotting occurs and my family takes me to doctor so that there is no complications. help me how to get spotting.i have bought mifegest but afraid to use. kindly help

Wed, 6 Apr 2016
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OBGYN 's  Response
Hallow Dear,

You are absolutely right in withholding the consumption of Mifepristone of your own. At 14 weeks gestational period, taking this medicine without Gynaecologist's advice and supervision may land you in serious complications like severe bleeding, incomplete abortion, infection, etc.

For termination of pregnancy of 14 weeks, WHO had recommended following regimes:

1. Mifepristone & Misoprostol Regime: Tab. Mifepristone to be followed after 36-48 hours by Tab. Misoprostol vaginally or sublingually every 3 hours up to 5 doses.

2. Misoprostol Alone Regime: Misoprostol vaginally or sublingually every 3 hours up to 5 doses.

However, considering the possibility of above mentioned complications and need for medical assistance, the medicines should be administered in a well equipped medical facility only. The medicines need to be taken in appropriate dosage and route only. These medicines are prescription medicines.

These medicines cause developmental abnormality in the baby. Hence, in case of failure, pregnancy should not be continued but terminated by surgical method.

Alternatively, such pregnancy may be terminated by surgical evacuation of the uterus. Since you are 14 weeks pregnant (more than 12 weeks), this procedure does carry some more risk. Therefore, in India, only highly equipped facilities are allowed to carry out termination of pregnancy of more than 12 weeks.

One more alternative is use of extra-amniotic instillation of Ethacredine lactate. However, its failure rate under 15 weeks of pregnancy are very high. In most of the countries, this procedure is abandoned now.

I feel, for you, Mifepristone + Misoprostol regime should suite better, however, only under expert Gynaecologist's supervision in a well equipped medical facility.

Once your pregnancy is terminated, please adopt a reliable birth control method like abstinence from the sex, condom, birth control pills or intrauterine device.

I hope you got the message.

Dr. Nishikant Shrotri
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  User's Response
HI
Well come to HCM
I really appreciate your concern, it is highly advisable that without the valid medico legal reason better not to think about abortion, because it is very risky one some time may cause the life too, medicine has got no role here, surgical intervention is the only option can be tried, hope this information helps, take care and have a nice day.
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How To Terminate The 14 Weeks Pregnancy?

Hallow Dear, You are absolutely right in withholding the consumption of Mifepristone of your own. At 14 weeks gestational period, taking this medicine without Gynaecologist s advice and supervision may land you in serious complications like severe bleeding, incomplete abortion, infection, etc. For termination of pregnancy of 14 weeks, WHO had recommended following regimes: 1. Mifepristone & Misoprostol Regime: Tab. Mifepristone to be followed after 36-48 hours by Tab. Misoprostol vaginally or sublingually every 3 hours up to 5 doses. 2. Misoprostol Alone Regime: Misoprostol vaginally or sublingually every 3 hours up to 5 doses. However, considering the possibility of above mentioned complications and need for medical assistance, the medicines should be administered in a well equipped medical facility only. The medicines need to be taken in appropriate dosage and route only. These medicines are prescription medicines. These medicines cause developmental abnormality in the baby. Hence, in case of failure, pregnancy should not be continued but terminated by surgical method. Alternatively, such pregnancy may be terminated by surgical evacuation of the uterus. Since you are 14 weeks pregnant (more than 12 weeks), this procedure does carry some more risk. Therefore, in India, only highly equipped facilities are allowed to carry out termination of pregnancy of more than 12 weeks. One more alternative is use of extra-amniotic instillation of Ethacredine lactate. However, its failure rate under 15 weeks of pregnancy are very high. In most of the countries, this procedure is abandoned now. I feel, for you, Mifepristone + Misoprostol regime should suite better, however, only under expert Gynaecologist s supervision in a well equipped medical facility. Once your pregnancy is terminated, please adopt a reliable birth control method like abstinence from the sex, condom, birth control pills or intrauterine device. I hope you got the message. Dr. Nishikant Shrotri